NPI | 1972951283 |
---|---|
Entity Type | Organization |
Authorized Contact | MARQUITA RIGGINS Hair Replacement Specialist 352-575-7032 |
Organization Subpart ? | No |
Primary Taxonomy | 1744P3200X Specialist, Prosthetics Case Management (Licence: GA CO120920) |
Enumeration Date | 2016-05-26 |
Last Update Date | 2016-05-26 |